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Underground Storage Tank <br /> Spill Container Testing Report Form <br /> 6. SPILL CONTAINER DETAILS <br /> Test Method Developed by ✓❑ Manufacturer ❑ Industry Standard ❑ Professional Engineer <br /> Test Type ❑ Pressure ❑ Vacuum ❑✓ Hydrostatic <br /> Tank ID T1 : UNLEADED T2 : 25K DSL#2 T3 : 16K DIESEL#2 T4 : PREMIUM <br /> Spill Container Manufacturer: oPW oPW oPW oPW <br /> Method of Cathodic Protection <br /> ❑✓ Nonmetallic ✓❑ Nonmetallic ✓❑ Nonmetallic ❑✓ Nonmetallic <br /> ❑ Other ❑ Other ❑ Other ❑ Other <br /> Is the spill container minimum ❑✓ Yes ❑✓ Yes ❑✓ Yes ❑✓ Yes <br /> capacity five gallons excluding No* No* No* No* <br /> riser volume? ❑ ❑ ❑ ❑ <br /> Method to keep spill container ❑✓ Drain ✓❑ Drain ✓❑ Drain ❑✓ Drain <br /> empty ❑ Pump ❑ Pump ❑ Pump ❑ Pump <br /> ❑ Other ❑ Other ❑ Other ❑ Other <br /> Spill Container Test Results ✓❑ Pass ✓❑ Pass ✓❑ Pass ✓❑ Pass <br /> ❑ Fail ❑ Fail ❑ Fail ❑ Fail <br /> Tank ID <br /> Spill Container Manufacturer: <br /> Method of Cathodic Protection ❑ Nonmetallic ❑ Nonmetallic ❑ Nonmetallic ❑ Nonmetallic <br /> ❑ Other ❑ Other ❑ Other ❑ Other <br /> Is the spill container minimum ❑ Yes ❑ Yes ❑ Yes ❑ Yes <br /> capacity five gallons excluding riser volume? ❑ No* ❑ No* ❑ No* ❑ No* <br /> ❑ Drain El Drain ❑ Drain ❑ Drain <br /> Method to keep spill container El ElPump ❑ Pump ElPump <br /> empty <br /> ❑ Other ❑ Other ❑ Other ❑ Other <br /> Spill Container Test Results ❑ Pass ❑ Pass ❑ Pass ❑ Pass <br /> ❑ Fail ❑ Fail ❑ Fail ❑ Fail <br /> 8. COMMENTS <br /> Describe all answers marked "Other," "No,"or "Fail"and each proposed remedy. <br /> 87 FILL TESTED TWICE 1ST LEAKING AT OPW FLANG O-RING - G/C WENT TO SUPPLIER <br /> TO GET NEW O-RING - INSTALLED - SSS TESTED & PASSED TEST WITH INSPECTOR ON <br /> SITE. <br /> ALTERNATIVE CONTRACTOR INSTALLED - SSS TESTED ONLY - PASSED. <br /> * Mark here if: <br /> ❑ Spill containers do not have a minimum capacity of five gallons and require replacement. <br /> Additional copies of this page may be attached. <br /> Page 2of2 <br />